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Billing When a Doctor completes Forms

  1. #1
    Question Billing When a Doctor completes Forms
    Medical Coding Books
    We have been asked by our doctors, can they bill for the time it takes to complete forms, there are a few different scenarios,
    Patient drops off forms to be completed for insurance or applying for disability for thier child(I work in peds/peds subspecialties).
    Patient is being seen for follow up on their condition and they bring paper work wanting to be completed at visit.
    A parent request doctor to write a letter in depth or report of childs condition for insurance or disability.

    We found a few codes but not sure if they are appropriate to use and if one would be okay how to document to bill for it.
    99080, or 99455, 99456

    Any input is appreciated

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    99455 and 99456 are work comp codes that include examination and would not be appropriate. 99080 would be appropriate but insurance does not usually pay for it so you would need to tell the patient up front that they are responsible for the payment for completing the forms.

  3. #3
    Smile
    Quote Originally Posted by EARREYGUE View Post
    We have been asked by our doctors, can they bill for the time it takes to complete forms, there are a few different scenarios,
    Patient drops off forms to be completed for insurance or applying for disability for thier child(I work in peds/peds subspecialties).
    Patient is being seen for follow up on their condition and they bring paper work wanting to be completed at visit.
    A parent request doctor to write a letter in depth or report of childs condition for insurance or disability.

    We found a few codes but not sure if they are appropriate to use and if one would be okay how to document to bill for it.
    99080, or 99455, 99456

    Any input is appreciated

    Scenario 1) I would use 99080-we charge the parent a fee to complete...

    Scenario 2) 99080 would be used.....parent is responsible for pymt....

    Scenario 3) 99080 would be used...parent is responsible for pymt....

    I donot know any commerical insurances that pays for this cpt code....


    Hope this helps.....

    YTH, CPC

  4. #4
    Talking
    Thanks for your replies this really helped us.

  5. #5
    Default I agree with Yolanda
    Quote Originally Posted by YTHASKINS View Post
    Scenario 1) I would use 99080-we charge the parent a fee to complete...

    Scenario 2) 99080 would be used.....parent is responsible for pymt....

    Scenario 3) 99080 would be used...parent is responsible for pymt....

    I donot know any commerical insurances that pays for this cpt code....


    Hope this helps.....

    YTH, CPC
    Yolanda,

    I completely agree with you on this one, we too charge the pt/parent for competion of forms, we base our fee on how many pages they are completing.

    I don't know if any insurance will pay for the 99080 code either.

    Just my 2 cents for the day
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  6. Default Forms
    What about Social Security Disability Forms, would you also use the 99080?

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